findings

  1. M

    Wiki Class B findings podiatry

    I've read a lot of forums on the Class B finding but im seeing mixed answers on this. I have a new provider who said it has to be 2 of the 4 for pulses. So she wanted to do Posterior pulses absent bilaterally. Which makes sense to me. Do others agree with this. I've read a lot on it and to...
  2. L

    Wiki Observation e/m

    I was wandering, our Surgeon's nurse (who is qualified) saw a pt. and the done the H&P (short form, hand written). All our Surgeon did was sign at the bottom. My question is does he not have to document that he approves with findings, or is it ok for just the signature? We are a Critical...
  3. C

    Wiki OP-notes - Postoperative diagnosis vs Findings (Practicode)

    I'm finally logging into my practicode subscription on a consistent basis and practicing ICD-10-CM selection. Which section of an OP note is best to use for DX selection? Findings or Post op Diagnosis? It seems like Practicode selects findings most often. How is it in the real world? In the...
  4. M

    Wiki Wellness Exams

    I have several providers in my office who use the diagnosis of Z00.00 (Encounter for general adult medical examination without abnormal findings), then they proceed to code additional diagnoses such as M27.2 (Inflammatory conditions of jaws) and/or E03.8 (Other specified hypothyroidism). I...
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